Title 42, The Public Health and WelfareRelease 119-110

§294s Rural Maternal and Obstetric Care Training Demonstration

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER V — HEALTH PROFESSIONS EDUCATION › Part E — Health Professions and Public Health Workforce › subpart 1 — health professions workforce information and analysis › § 294s

Last updated Sep 22, 2026|Official source

Summary

The Secretary must give grants to accredited medical, osteopathic, and nursing schools and other health training programs to set up a rural training demonstration. The goal is to train doctors, residents, fellows, nurse practitioners, physician assistants, nurses, certified nurse midwives, home‑visiting workers and other licensed local professionals to lower preventable maternal deaths and serious maternal illness by improving prenatal, labor, birth, and postpartum care in rural communities. Grant money must be used to plan, build, and run evidence‑based training and can also pay for administration, faculty development, or units needed to run the program. Training may cover things like maternal mental health (including perinatal depression and anxiety), substance use disorders, social factors that affect health in rural areas, and ways to improve care for racial and ethnic minority patients, including reducing bias. Grant applicants must apply to the Secretary with the required information. Grant recipients must send performance data so the Secretary can evaluate the program. By January 1, 2026, the Secretary must report to Congress on how the program affected the amount, quality, and location of maternal care, the demographics of people served, maternal and infant outcomes before and after the program, and whether the program should continue. Up to $5,000,000 is authorized each year for fiscal years 2023 through 2027.

Full Legal Text

Title 42, §294s

The Public Health and Welfare, Source: USLM XML via OLRC

(a)In general
The Secretary shall award grants to accredited schools of allopathic medicine, osteopathic medicine, and nursing, and other appropriate health professional training programs, to establish a training demonstration program to support—
(1)training for physicians, medical residents, fellows, nurse practitioners, physician assistants, nurses, certified nurse midwives, relevant home visiting workforce professionals and paraprofessionals, or other professionals who meet relevant State training and licensing requirements, as applicable, to reduce preventable maternal mortality and severe maternal morbidity by improving prenatal care, labor care, birthing, and postpartum care in rural community-based settings; and
(2)developing recommendations for such training programs.
(b)Application
To be eligible to receive a grant under subsection (a), an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.
(c)Activities
(1)Training for health care professionals
A recipient of a grant under subsection (a)—
(A)shall use the grant funds to plan, develop, and operate a training program to provide prenatal care, labor care, birthing, and postpartum care in rural areas; and
(B)may use the grant funds to provide additional support for the administration of the program or to meet the costs of projects to establish, maintain, or improve faculty development, or departments, divisions, or other units necessary to implement such training.
(2)Training program requirements
The recipient of a grant under subsection (a) shall ensure that training programs carried out under the grant are evidence-based and address improving prenatal care, labor care, birthing, and postpartum care in rural areas, and such programs may include training on topics such as—
(A)maternal mental health, including perinatal depression and anxiety;
(B)substance use disorders;
(C)social determinants of health that affect individuals living in rural areas; and
(D)improving the provision of prenatal care, labor care, birthing, and postpartum care for racial and ethnic minority populations, including with respect to perceptions and biases that may affect the approach to, and provision of, care.
(d)Evaluation and report
(1)Evaluation
(A)In general
The Secretary shall evaluate the outcomes of the demonstration program under this section.
(B)Data submission
Recipients of a grant under subsection (a) shall submit to the Secretary performance metrics and other related data in order to evaluate the program for the report described in paragraph (2).
(2)Report to Congress
Not later than January 1, 2026, the Secretary shall submit to Congress a report that includes—
(A)an analysis of the effects of the demonstration program under this section on the quality, quantity, and distribution of maternal health care services, including prenatal care, labor care, birthing, and postpartum care services, and the demographics of the recipients of those services;
(B)an analysis of maternal and infant health outcomes (including quality of care, morbidity, and mortality) before and after implementation of the program in the communities served by entities participating in the demonstration; and
(C)recommendations on whether the demonstration program should be continued.
(e)Authorization of appropriations
There are authorized to be appropriated to carry out this section $5,000,000 for each of fiscal years 2023 through 2027.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Another section 764 of act July 1, 1944, was renumbered section 764A and is classified to section 294t of this title.

Prior Provisions

A prior section 294s, act
July 1, 1944, ch. 373, title VII, § 749, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 408(a), 90 Stat. 2280; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(f), 91 Stat. 391, Pub. L. 96–88, title III, § 301(a)(1), title V, § 507, 93 Stat. 677, 692, which related to traineeships for students in other graduate programs, was renumbered section 791A of act
July 1, 1944, by Pub. L. 97–35 and transferred to section 295h–1a of this title, and was subsequently omitted in the general amendment of this subchapter by Pub. L. 102–408.

Reference

Citations & Metadata

Citation

42 U.S.C. § 294s

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110